@layout("/common/_form.html",{js:["/assets/modular/system/alipay/edit.js"]}){
<form class="layui-form" id="noticeForm" lay-filter="noticeForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">校验银行卡号</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="id" value="${btyArchives.id}" type="hidden"/>


                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">姓名</label>
                        <div class="layui-input-block">
                            <input name="xm" value="${btyArchives.xm}" type="text" class="layui-input" readonly/>
                        </div>
                    </div>


                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">手机号</label>
                        <div class="layui-input-block">
                            <input name="tel" value="${btyArchives.tel}"  type="text" class="layui-input" readonly/>
                        </div>
                    </div>


                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">银行卡号<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="yhk" value="${btyArchives.yhk}" placeholder="请输入银行卡号" type="text" class="layui-input"
                                   lay-verify="required" required/>
                        </div>
                    </div>

                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">银行行号</label>
                        <div class="layui-input-block">
                            <input name="hh" value="${btyArchives.hh}" placeholder="请输入银行行号" type="text" class="layui-input"/>
                        </div>
                    </div>

                </div>
            </div>
        </div>
    </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>
</form>

@}
